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Cypermethrin

Published: July 26, 2026Updated: August 20, 2026

Cypermethrin is a synthetic pyrethroid ectoparasiticide used to treat infestations by external parasites such as lice, mites, and ticks. It works by disrupting the nervous system of these parasites, leading to their death. This medication is available in various topical formulations for both human and veterinary use.

Quick summary

A topical ectoparasiticide used to eliminate lice, mites, and ticks by disrupting parasite nerve function.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ATC
P03BA02
RxNorm
2590266
Generic
Cypermethrin
Class
atc-p03
Brands
—
Availability
rx
Lactation
unknown
Routes
topical
Forms
ointment, spray
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)topical
Usual dose
N/A - Cypermethrin is an insecticide not typically used for systemic human treatment
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)topical
Usual dose
N/A - Cypermethrin is an insecticide not typically used for systemic human treatment
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)topical
Usual dose
N/A - Cypermethrin is an insecticide not typically used for systemic human treatment
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity in humans - approximate threshold based on animal studies
Chronic overdose: Prolonged occupational exposure may lead to cumulative neurological effects including peripheral neuropathy and sensory disturbances
Immediate actions
Decontamination with soap and water for dermal exposure; gastric lavage and activated charcoal for recent ingestion within 1-2 hours; supportive care and monitoring
Antidote
No specific antidote - treatment is supportive(Supportive care is the primary treatment - effectiveness depends on timely decontamination and symptom management)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid exposure

Key Recommendations

avoid use during pregnancy; if exposure occurs, minimize contact and ensure adequate ventilation

Monitor

routine prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid exposure

Key Recommendations

avoid use during pregnancy; minimize occupational and domestic exposure

Monitor

routine prenatal care

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

avoid direct contact

Key Recommendations

avoid breast milk contamination; wash hands thoroughly before handling infant

Monitor

monitor infant for unusual symptoms

Use with caution and monitor for adverse effects.

⚠

pediatric_age

infants
caution
FDA Category
C
Dose Adjustment

avoid use

Key Recommendations

avoid use around infants and young children; ensure proper ventilation

Monitor

observe for neurological symptoms

Use with caution and monitor for adverse effects.

⚠

pediatric_age

children 2 12 years
caution
FDA Category
C
Dose Adjustment

avoid use

Key Recommendations

avoid use in pediatric populations; keep products out of reach

Monitor

observe for skin irritation or neurological symptoms

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly over 65
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

use with caution due to potential reduced hepatic metabolism; minimize exposure

Monitor

monitor for neurological symptoms

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

standard use

Key Recommendations

no major dose adjustment needed as primary excretion is hepatic

Monitor

general monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

use with caution; cypermethrin is metabolized in liver

Monitor

monitor liver function

Use with caution and monitor for adverse effects.

✗

alcohol_users

chronic alcohol consumption
unsafe
FDA Category
C
Dose Adjustment

avoid concurrent use

Key Recommendations

avoid exposure while consuming alcohol; alcohol may enhance absorption and liver toxicity

Monitor

monitor for neurological and hepatic symptoms

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

classificationEPA
2023

Chemical class

Value:Synthetic pyrethroid

Chemical classification as pesticide

usageWHO
2023

Primary use

Value:Insecticide for agricultural and household pest control

Primary application as pesticide

approvalFDA
2023

Human medical use

Value:Not approved for human therapeutic use

No human drug approval status

Used for the treatment of scabies, head lice, body lice, and pubic lice in humans; and ectoparasitic infestations including fleas, ticks, and mites in companion animals and livestock.

Cypermethrin is a neurotoxin that acts on the peripheral nervous system of parasites. It prolongs the opening of voltage-gated sodium channels, causing hyperexcitability, paralysis, and eventual death of the ectoparasite.

For topical use only; avoid contact with eyes and mucous membranes. Use with caution in cats, as they are particularly sensitive to pyrethroids. Do not ingest. Wash hands thoroughly after application. Consult a healthcare provider or veterinarian before use in pregnant or nursing individuals or young children.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy